Provider Demographics
NPI:1174415194
Name:DAHIR, ABDI ABDULLAHI (CERTIFIED CHW)
Entity type:Individual
Prefix:
First Name:ABDI
Middle Name:ABDULLAHI
Last Name:DAHIR
Suffix:
Gender:M
Credentials:CERTIFIED CHW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:560 GORMAN ST APT 113
Mailing Address - Street 2:
Mailing Address - City:SHAKOPEE
Mailing Address - State:MN
Mailing Address - Zip Code:55379-2676
Mailing Address - Country:US
Mailing Address - Phone:612-703-3210
Mailing Address - Fax:
Practice Address - Street 1:560 GORMAN ST APT 113
Practice Address - Street 2:
Practice Address - City:SHAKOPEE
Practice Address - State:MN
Practice Address - Zip Code:55379-2676
Practice Address - Country:US
Practice Address - Phone:612-703-3210
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-15
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Single Specialty